Organization
BRIAN BENSON PHARMACIST INC
Active
Other names
AS PRESCRIBED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BENSON RPH (OWNER)
(559) 582-2022
Entity
Organization
Contact information
Practice address
457 GREENFIELD AVE STE 101, HANFORD, CA 93230-3585
(559) 582-2022
(559) 582-5216
Mailing address
457 GREENFIELD AVE STE 101, HANFORD, CA 93230-3585
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY35699
CA
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0598310
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA356990
—
CA
Enumeration date
07/30/2006
Last updated
04/09/2009
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